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Levalbuterol, (R)-albuterol or the R-isomer of albuterol, is a potent β2-adrenergic receptor agonist used to treat asthma and COPD-chronic obstructive pulmonary disease.
| ln Vitro |
Levalbuterol (10 μM; 24 hours) causes 11β-HSD1 mRNA expression in airway epithelial cells, but not 11β-HSD2 expression[1].
Levalbuterol (10 μM; 24 hours) increases GRE activation in an 11β-HSD1 dependent manner in a transformed mouse airway epithelial cell line, while significantly reducing both LPS- and TNF-α-induced NF-κB activity[1]. |
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| ln Vivo |
Levalbuterol (subcutaneous injection; 1 mg/kg; 14 days) dramatically reduces pulmonary inflammation in OVA mice, as evidenced by a drop in IgE and eosinophilia[3].
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| Cell Assay |
Cell Line: Murine Club (MTCC) cells
Concentration: 10 μM Incubation Time: 24 hours Result: Increased 11β-HSD1 mRNA expression selectively. |
| Animal Protocol |
C57BL/6 female mice with a pulmonary allergic model
1 mg/kg Subcutaneous injection; 1 mg/kg; 14 days |
| ADME/Pharmacokinetics |
Absorption, Distribution and Excretion
Inhalation delivers the drug directly to the airways and lungs, reducing systemic absorption and minimizing side effects. It is excreted in the urine. Metabolism/Metabolites Pure (R)-salbutamol, i.e., levosabutamol, is metabolized in the intestine 12 times faster than (S)-salbutamol. Biological Half-Life 3.3 - 4 hours |
| Toxicity/Toxicokinetics |
Effects During Pregnancy and Lactation
◉ Overview of Drug Use During Lactation Levosalbutamol is the R-enantiomer of the β2-adrenergic agonist salbutamol (Ventolin). While there is currently no publicly available data on oral or inhaled levsalbutamol during lactation, data on the related drug terbutaline suggest that very small amounts are expected to be excreted into breast milk. Authors of multiple reviews and expert guidelines agree that the use of such drugs during lactation is acceptable due to the low bioavailability of inhaled bronchodilators and the low maternal serum concentrations after administration. ◉ Effects on Breastfed Infants No published information found as of the revision date. ◉ Effects on Lactation and Breast Milk No published information found as of the revision date. Protein Binding Plasma protein binding is relatively low. |
| References | |
| Additional Infomation |
(R)-Salbutamol is a type of salbutamol. Levosalbutamol, or levosabutamol, is a short-acting β2-adrenergic receptor agonist used to treat asthma and chronic obstructive pulmonary disease (COPD). Salbutamol was previously marketed as a racemic mixture, but its β2-agonist activity was almost entirely present in the (R)-enantiomer. The enantioselective distribution of salbutamol and the potential adverse effects of (S)-salbutamol prompted the development of an enantiomerically pure (R)-salbutamol formulation, namely levosabutamol. Levosalbutamol is a β2-adrenergic agonist. The mechanism of action of levosabutamol is as a β2-adrenergic receptor agonist. Levosalbutamol is a short-acting sympathomimetic β2-adrenergic receptor agonist with bronchodilatory effects. Levosalbutamol binds to β2-adrenergic receptors in bronchial smooth muscle, activating intracellular adenylate cyclase, which catalyzes the conversion of adenosine triphosphate (ATP) to cyclic adenosine monophosphate (cAMP). Increased cAMP levels lead to activation of protein kinase A, which in turn inhibits myosin phosphorylation and reduces intracellular calcium ion concentration, ultimately resulting in bronchial smooth muscle relaxation. Increased cAMP concentration also inhibits the release of inflammatory mediators, especially those from mast cells.
R-isomer of salbutamol. See also: Levosalbutamol hydrochloride (salt form); Levosalbutamol tartrate (salt form); Levosalbutamol sulfate (salt form)...See more... Drug Indications Indications for the treatment of chronic obstructive pulmonary disease (COPD) and asthma. Mechanism of Action β2-adrenergic receptors on airway smooth muscle are coupled to Gs protein. L-salbutamol activates these receptors, which in turn activates adenylate cyclase, leading to an increase in intracellular 3',5'-cyclic adenosine monophosphate (cAMP) concentration. Increased cAMP levels activate protein kinase A, which inhibits myosin phosphorylation, thereby reducing intracellular calcium ion concentration and inducing muscle relaxation. Elevated cAMP levels are also associated with inhibiting the release of mediators from airway mast cells, which may help alleviate asthma attacks. |
| Molecular Formula |
C₁₃H₂₁NO₃
|
|---|---|
| Molecular Weight |
239.31
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| Exact Mass |
239.152
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| CAS # |
34391-04-3
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| Related CAS # |
Levalbuterol hydrochloride; 50293-90-8; Levalbuterol tartrate; 661464-94-4
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| PubChem CID |
123600
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| Appearance |
Typically exists as solid at room temperature
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| Density |
1.2±0.1 g/cm3
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| Boiling Point |
433.5±40.0 °C at 760 mmHg
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| Flash Point |
159.5±17.9 °C
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| Vapour Pressure |
0.0±1.1 mmHg at 25°C
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| Index of Refraction |
1.566
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| LogP |
0.01
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| Hydrogen Bond Donor Count |
4
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| Hydrogen Bond Acceptor Count |
4
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| Rotatable Bond Count |
5
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| Heavy Atom Count |
17
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| Complexity |
227
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| Defined Atom Stereocenter Count |
1
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| SMILES |
CC(C)(C)NC[C@@H](C1=CC(=C(C=C1)O)CO)O
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| InChi Key |
NDAUXUAQIAJITI-LBPRGKRZSA-N
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| InChi Code |
InChI=1S/C13H21NO3/c1-13(2,3)14-7-12(17)9-4-5-11(16)10(6-9)8-15/h4-6,12,14-17H,7-8H2,1-3H3/t12-/m0/s1
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| Chemical Name |
4-[(1R)-2-(tert-butylamino)-1-hydroxyethyl]-2-(hydroxymethyl)phenol
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| Synonyms |
Levalbuterol; (R)-albuterol; Xopenex; R-albuterol; Levosalbutamol
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| HS Tariff Code |
2934.99.9001
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| Storage |
Powder -20°C 3 years 4°C 2 years In solvent -80°C 6 months -20°C 1 month |
| Shipping Condition |
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
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| Solubility (In Vitro) |
May dissolve in DMSO (in most cases), if not, try other solvents such as H2O, Ethanol, or DMF with a minute amount of products to avoid loss of samples
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| Solubility (In Vivo) |
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.
Injection Formulations
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution → 50 μL Tween 80 → 850 μL Saline)(e.g. IP/IV/IM/SC) *Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution. Injection Formulation 2: DMSO : PEG300 :Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO → 400 μLPEG300 → 50 μL Tween 80 → 450 μL Saline) Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO → 900 μL Corn oil) Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals). View More
Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO → 900 μL (20% SBE-β-CD in saline)] Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium) Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals). View More
Oral Formulation 3: Dissolved in PEG400  (Please use freshly prepared in vivo formulations for optimal results.) |
| Preparing Stock Solutions | 1 mg | 5 mg | 10 mg | |
| 1 mM | 4.1787 mL | 20.8934 mL | 41.7868 mL | |
| 5 mM | 0.8357 mL | 4.1787 mL | 8.3574 mL | |
| 10 mM | 0.4179 mL | 2.0893 mL | 4.1787 mL |
*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.
Calculation results
Working concentration: mg/mL;
Method for preparing DMSO stock solution: mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.
Method for preparing in vivo formulation::Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.
(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
(2) Be sure to add the solvent(s) in order.
| NCT Number | Recruitment | interventions | Conditions | Sponsor/Collaborators | Start Date | Phases |
| NCT01126073 | Active Recruiting |
Drug: Placebo Drug: Oral Albuterol Extended Release |
Spinal Cord Injury Respiratory Muscle Weakness |
VA Office of Research and Development |
June 1, 2016 | Phase 4 |
| NCT03522831 | Active Recruiting |
Drug: Salbutamol Drug: Comparator : Placebo |
Lung Diseases Cystic Fibrosis |
University of British Columbia | May 1, 2018 | Not Applicable |
| NCT02797275 | Active Recruiting |
Drug: Albuterol Drug: Placebo |
Secondhand Smoke Air Trapping Tobacco |
University of California, San Francisco |
June 6, 2016 | Phase 4 |
| NCT05363670 | Active Recruiting |
Drug: ARS-1 Drug: Albuterol MDI Drug: Placebo |
Asthma | ARS Pharmaceuticals, Inc. | July 28, 2022 | Phase 2 |
| NCT05363670 | Active Recruiting |
Drug: ARS-1 Drug: Albuterol MDI Drug: Placebo |
Asthma | ARS Pharmaceuticals, Inc. | July 28, 2022 | Phase 2 |